Active NPI
Connie Lavonne Reid, HAIR LOSS SPECIALIST
- Prosthetics Case Management
- Glenn Heights, TX
National Provider Identifier
1073123543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 216 Abel Dr
Glenn Heights, TX 75154-3862 - Phone
- (469) 323-0560
- NPI assigned
- Aug 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | TX | ||
| Prosthetics Case Management | 1744P3200X | TX | Primary |
Addresses
Primary practice location
216 Abel Dr
Glenn Heights, TX 75154-3862
Mailing address
216 Abel Dr
Glenn Heights, TX 75154-3862
Phone (469) 323-0560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596844800000",
"number": "1073123543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 ABEL DR",
"city": "GLENN HEIGHTS",
"state": "TX",
"postal_code": "751543862",
"telephone_number": "469-323-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 ABEL DR",
"city": "GLENN HEIGHTS",
"state": "TX",
"postal_code": "751543862",
"telephone_number": "469-323-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "CONNIE",
"middle_name": "LAVONNE",
"credential": "HAIR LOSS SPECIALIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-08",
"last_updated": "2020-08-08",
"certification_date": "2020-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenn Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.